Rand C S, Kellner K R, Revak-Lutz R, Massey J K
Department of Psychiatry, University of Florida, Gainesville 32610-0294, USA.
J Psychosom Obstet Gynaecol. 1998 Mar;19(1):44-8. doi: 10.3109/01674829809044220.
Perinatal death is a tragic occurrence, and parents vary in their needs and how they express grief. This prospective study describes choices parents made regarding contact with their baby following stillbirth or immediate neonatal death. Between 1 January 1979 and 1 March 1991, 808 consecutive families were enrolled in the Perinatal Mortality Counseling Program at the University of Florida. Following perinatal death, most parents wanted contact with their baby to personalize the event, information about the death and follow-up from their health care providers. However, no option was chosen by all parents. This large study strongly supports offering choices to all parents. Providers should neither bias parents nor make presumptions that would limit parental choices.
围产期死亡是一件悲惨的事情,父母的需求以及他们表达悲痛的方式各不相同。这项前瞻性研究描述了父母在死产或新生儿即刻死亡后与他们的婴儿接触方面所做的选择。1979年1月1日至1991年3月1日期间,808个连续的家庭参加了佛罗里达大学的围产期死亡咨询项目。围产期死亡后,大多数父母希望与他们的婴儿接触,以使这一事件个性化,了解死亡相关信息并得到医疗服务提供者的后续跟进。然而,并非所有父母都选择了同一种方式。这项大型研究有力地支持为所有父母提供选择。医疗服务提供者既不应使父母产生偏见,也不应做出会限制父母选择的假设。